Individual provider · Type 1 NPI

Van Tuy Phan, PA-C

Surgical Physician Assistant · Lakewood, WA

NPI number 1912040049 Active

Practice location

11311 Bridgeport Way SW Ste 100
Lakewood, WA 98499-3096

Call (253) 985-6490 Map

Fax (253) 985-6488

Other practice locations

  • 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 · (425) 656-5060

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA10004199 (WA)
Surgical Physician Assistant Primary 363AS0400XPA10004199 (WA)

Surgical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1912040049

Van Tuy Phan, PA-C's National Provider Identifier is 1912040049, issued on Feb 15, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lakewood, WA. The record was last updated on Jan 20, 2021.